Active NPI
Kevin Robb Johnson, D.P.T
- Physical Therapist
- Delta, CO
National Provider Identifier
1710216320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10661
- Practice address
- 1410 Valley View Dr Ste 309
Delta, CO 81416-3130 - Phone
- (970) 639-1948
- Fax
- (970) 808-2006
- NPI assigned
- Dec 9, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10661 | CO | Primary |
Addresses
Primary practice location
1410 Valley View Dr Ste 309
Delta, CO 81416-3130
Mailing address
546 Apricot LN
Delta, CO 81416-3067
Phone (970) 639-1948
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Colorado School of Medicine, Denver, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1410 Valley View Dr
Suite 309
Delta, CO 81416-3130
Phone (970) 639-1948
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformative Pain Care and Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
Locations
1410 Valley View Dr
Ste 309
Delta, CO 81416
Phone (970) 639-1948
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Delta, CO
- NPI 1225715345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1710216320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "546 APRICOT LN",
"city": "DELTA",
"state": "CO",
"postal_code": "814163067",
"telephone_number": "970-639-1948",
"fax_number": "970-808-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 VALLEY VIEW DR STE 309",
"city": "DELTA",
"state": "CO",
"postal_code": "814163130",
"telephone_number": "970-639-1948",
"fax_number": "970-808-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KEVIN",
"middle_name": "ROBB",
"credential": "D.P.T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-09",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "10661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.